Kingsley Chibueze Amaefule, MD
Student in an Organized Health Care Education/Training Program in Chicago, IL. Individual provider (NPI-1).
NPI number1023991007
StatusActive
Last updated in NPPESJul 28, 2025
Details
- NPI
- 1023991007
- Entity type
- Individual (NPI-1)
- Name
- Kingsley Chibueze Amaefule
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2025
- Certification date
- Jul 18, 2025
- Last updated
- Jul 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | 125.085312 | IL | Yes |
Practice location
1500 S California AveFrankel 208
Chicago, IL 60608
Phone 773-257-6613
Mailing address
1500 S California AveFrankel 208
Chicago, IL 60608
Phone 773-257-6613
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